Shannon, Melissa Chase

Shannon, Melissa Chase is an individual health care provider with primary practice located at 210 S Cameron St , Hillsborough NC 27278-2505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shannon, Melissa Chase can be contacted via phone (919) 732-9311.

Contact Information

Primary practice address
210 S Cameron St Hillsborough NC 27278-2505
Phone: (919) 732-9311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 87166 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 02-647371 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101-0021041 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 052782 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 241346 North Carolina

Profile Details

NPI number 1861786519
LBN Legal business name Shannon, Melissa Chase
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2011
Last updated May 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861786519 NPPES
Vermont MEDICAID ONP0290
Vermont Other 05319758

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